Organization Active NPI

Cheetham Physician

  • Urology Physician
  • New York, NY
National Provider Identifier
1982076360
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
267290 Issued in NY
Legal business name
CHEETHAM PHYSICIAN
Practice address
322 W 57TH St
52Q
New York, NY 10019-3701
Phone
(718) 963-3495
Fax
(718) 963-3496
NPI assigned
Oct 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philippa Jayne Cheetham
Title
President
Phone
(718) 963-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 267290 NY Primary

Addresses

Primary practice location

322 W 57TH St
52Q
New York, NY 10019-3701

Mailing address

322 W 57TH St
52Q
New York, NY 10019-3701
Phone (718) 963-3495

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1982076360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W 57TH ST",
            "address_2": "52Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193701",
            "telephone_number": "718-963-3495",
            "fax_number": "718-963-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W 57TH ST",
            "address_2": "52Q",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193701",
            "telephone_number": "718-963-3495",
            "fax_number": "718-963-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEETHAM PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "CHEETHAM",
        "authorized_official_first_name": "PHILIPPA",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-963-3495",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "267290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.